LFA-1 blockade induces effector and regulatory T-cell enrichment in lymph nodes and synergizes with CTLA-4Ig to inhibit effector function

Blood. 2011 Nov 24;118(22):5851-61. doi: 10.1182/blood-2011-04-347252. Epub 2011 Oct 4.

Abstract

Despite encouraging results using lymphocyte function antigen-1 (LFA-1) blockade to inhibit BM and solid organ transplantation rejection in nonhuman primates and humans, the precise mechanisms underlying its therapeutic potential are still poorly understood. Using a fully allogeneic murine transplantation model, we assessed the relative distribution of total lymphocyte subsets in untreated versus anti-LFA-1-treated animals. Our results demonstrated a striking loss of naive T cells from peripheral lymph nodes, a concomitant gain in blood after LFA-1 blockade, and a shift in phenotype of the cells remaining in the node to a CD62LloCD44hi profile. We determined that this change was due to a specific enrichment of activated, graft-specific effectors in the peripheral lymph nodes of anti-LFA-1-treated mice compared with untreated controls, and not to a direct effect of anti-LFA-1 on CD62L expression. LFA-1 blockade also resulted in a dramatic increase in the frequency of CD4+ FoxP3+ regulatory T cells in graft-draining nodes. Our results suggest that the differential impact of LFA-1 blockade on the distribution of naive versus effector and regulatory T cells may underlie its ability to inhibit alloreactive T-cell responses after transplantation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Abatacept
  • Animals
  • Antibodies / pharmacology
  • Cell Proliferation / drug effects*
  • Down-Regulation / drug effects
  • Drug Evaluation, Preclinical
  • Drug Synergism
  • Female
  • Immunoconjugates / administration & dosage
  • Immunoconjugates / pharmacology*
  • Lymph Nodes / cytology
  • Lymph Nodes / drug effects*
  • Lymphocyte Count
  • Lymphocyte Function-Associated Antigen-1 / immunology*
  • Lymphocyte Function-Associated Antigen-1 / metabolism
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • T-Lymphocytes, Helper-Inducer / drug effects*
  • T-Lymphocytes, Helper-Inducer / physiology
  • T-Lymphocytes, Regulatory / drug effects*
  • T-Lymphocytes, Regulatory / physiology

Substances

  • Antibodies
  • Immunoconjugates
  • Lymphocyte Function-Associated Antigen-1
  • Abatacept